Provider Demographics
NPI:1952326191
Name:CZARNECKI, BETH A (AUD CCC-A)
Entity Type:Individual
Prefix:MS
First Name:BETH
Middle Name:A
Last Name:CZARNECKI
Suffix:
Gender:F
Credentials:AUD CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:608 BEAR ROCKS ROAD BOX 346
Mailing Address - Street 2:
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:PA
Mailing Address - Zip Code:15666
Mailing Address - Country:US
Mailing Address - Phone:724-542-4995
Mailing Address - Fax:
Practice Address - Street 1:100 SCHUYLKILL MEDICAL PLZ STE 203
Practice Address - Street 2:
Practice Address - City:POTTSVILLE
Practice Address - State:PA
Practice Address - Zip Code:17901-3767
Practice Address - Country:US
Practice Address - Phone:570-621-5005
Practice Address - Fax:570-621-5003
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2019-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT000993L231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist